FDA Adverse Event Malfunction Summary report: N

CADD DUODOPA CASSETTE

MDR report key: 23623746 · Received November 21, 2025

Report

Report Number
3012307300-2025-12804
Event Type
Malfunction
Date Received
November 21, 2025
Date of Event
October 1, 2025
Report Date
November 21, 2025
Manufacturer
ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V.
Product Code
FPA
UDI-DI
10610586044175
PMA / PMN Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

NO LOT NUMBER WAS PROVIDED; THEREFORE, A DEVICE HISTORY RECORD (DHR) REVIEW COULD NOT BE CONDUCTED. NO PRODUCT WAS RETURNED; THEREFORE, NO VISUAL AND FUNCTIONAL TESTS WERE PERFORMED, THE REPORTED COMPLAINT COULD NOT BE CONFIRMED, AND THE ROOT CAUSE COULD NOT BE DETERMINED. IF THE PRODUCT IS RETURNED, THE MANUFACTURER WILL REOPEN THIS COMPLAINT FOR FURTHER INVESTIGATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CADD CASSETTE 100 ML, LN 68-2230-28 AND UNKNOWN LOT NUMBER. IT WAS STATED THAT THE NURSE REPORTED THAT THE PATIENT FELL OVER THE WEEKEND. MEDICATION LEAKED FROM THE CASSETTE DURING THE NIGHT, DAMAGING THE PUMP WHICH NOW DISPLAYS ERROR MESSAGE 1618. THE PUMP CAN NO LONGER BE STARTED. THEY REQUESTED A REPLACEMENT. THE NURSE WILL SEND THEM THE CURRENT DOSAGE. THE PATIENT IS ON SUBSTITUTE MEDICATION. CURRENT DOSAGES ARE MD OF 5.0 ML, KRT OF 3.5 ML PER HOUR, KRN OF 1.0 ML PER HOUR, AND ED OF 4.0 ML. THE PUMP WAS RUNNING AND WAS CONNECTED TO THE PATIENT. NO ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2022613 CADD DUODOPA CASSETTE SET, ADMINISTRATION, INTRAVASCULAR FPA ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V. UNKNOWN 10610586044175

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown